Provider Demographics
NPI:1700813599
Name:CUNNINGHAM, JENNIFER ABERCROMBIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ABERCROMBIE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3 MOBILE INFIRMARY CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3514
Mailing Address - Country:US
Mailing Address - Phone:251-433-1887
Mailing Address - Fax:251-433-1929
Practice Address - Street 1:3 MOBILE INFIRMARY CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3514
Practice Address - Country:US
Practice Address - Phone:251-433-1887
Practice Address - Fax:251-433-1929
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21126174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51530612OtherBLUE CROSS BLUE SHIELD
AL0552570001OtherCIGNA
AL528902340Medicaid
AL0552570001OtherMEDICARE
AL51530612OtherBLUE CROSS BLUE SHIELD
AL0552570001OtherMEDICARE